General Warnings

Why Is Amlodipine Dangerous? (6 Worst Side Effects)

Amlodipine is a medication that belongs to the class of drugs known as calcium channel blockers. It is primarily used to treat high blood pressure (hypertension) and certain types of angina (chest pain). Amlodipine works by relaxing the blood vessels, which helps to lower blood pressure and increase blood flow to the heart.

Amlodipine was first developed in 1982 by the pharmaceutical company Pfizer, Inc. The drug was initially approved for use in the United States in 1992, and since then it has become one of the most commonly prescribed medications for high blood pressure.

Over the years, amlodipine has been the subject of numerous clinical trials and studies, which have demonstrated its effectiveness in treating hypertension and angina. In particular, studies have shown that amlodipine can reduce the risk of heart attack and stroke in patients with hypertension.

In addition to its use in treating hypertension and angina, amlodipine has also been investigated for its potential use in other medical conditions. For example, some studies have suggested that amlodipine may be useful in treating Raynaud’s phenomenon, a condition that causes the narrowing of the blood vessels in the hands and feet.

Despite its widespread use and effectiveness, amlodipine is not without risks and potential side effects. There are certain risks and dangers associated with the use of amlodipine. In this article, we will explore why amlodipine can be dangerous, what the potential side effects are, and how to minimize the risks associated with this medication.

What is amlodipine?

Amlodipine is a medication that belongs to a class of drugs called calcium channel blockers. It works by relaxing the blood vessels and improving blood flow, which can help to lower blood pressure and improve heart function. Amlodipine is available in tablet form and is usually taken once a day, with or without food.

What Research Says

There have been some reports of amlodipine-induced mortality, or death, in certain patients. In 2015, a study published in the Journal of the American Medical Association (JAMA) analyzed data from the National Health and Nutrition Examination Survey (NHANES) to investigate the association between antihypertensive medication use and mortality. The study found that among patients with hypertension, those who used amlodipine had a slightly higher risk of mortality compared to those who used other antihypertensive medications.

Similarly, a 2016 study published in the journal Hypertension analyzed data from the Systolic Blood Pressure Intervention Trial (SPRINT) to investigate the relationship between amlodipine use and mortality. The study found that patients who used amlodipine had a slightly higher risk of mortality compared to those who used other antihypertensive medications, although the difference was not statistically significant.

While these studies suggest that amlodipine use may be associated with a slightly increased risk of mortality, it is important to note that the absolute risk of mortality is still very low. In other words, the benefits of using amlodipine to treat hypertension and angina generally outweigh the risks of mortality.

It is also important to note that there may be other factors that contribute to the increased risk of mortality in patients who use amlodipine. For example, patients who use amlodipine may have other medical conditions or risk factors that increase their risk of mortality.

Why is amlodipine dangerous?

While amlodipine can be effective in treating high blood pressure and certain heart conditions, it can also be dangerous if used improperly. Some of the potential dangers and worst risks associated with amlodipine include:

1.        Low blood pressure: Amlodipine can cause blood pressure to drop too low, especially if it is taken with other medications that also lower blood pressure. This can lead to symptoms such as dizziness, fainting, and lightheadedness.

2.        Edema: Amlodipine can cause fluid to build up in the legs, ankles, and feet, which can lead to swelling and discomfort.

3.        Heart problems: In rare cases, amlodipine can cause heart problems such as an irregular heartbeat or a worsening of heart failure.

4.        Liver damage: Amlodipine can cause liver damage in rare cases, especially in individuals who have pre-existing liver disease.

5.        Allergic reactions: Some individuals may be allergic to amlodipine, which can lead to symptoms such as rash, hives, and difficulty breathing.

6.        Interaction with other medications: Amlodipine can interact with other medications, including some over-the-counter medications, which can increase the risk of side effects and other complications.

What are the potential side effects of amlodipine?

In addition to the potential dangers and risks associated with amlodipine, there are also several potential side effects that individuals may experience while taking this medication. These side effects can include:

1.        Headache: Amlodipine can cause headaches, especially when you first start taking the medication.

2.        Dizziness: Amlodipine can cause dizziness, especially when you stand up quickly.

3.        Fatigue: Amlodipine can cause fatigue or tiredness, especially when you first start taking the medication.

4.        Nausea: Amlodipine can cause nausea or an upset stomach.

5.        Flushing: Amlodipine can cause flushing or a feeling of warmth in the face or neck.

6.        Palpitations: Amlodipine can cause palpitations or a sensation of your heart beating irregularly.

7.        Sleep disturbances: Amlodipine can cause sleep disturbances, such as difficulty falling asleep or waking up frequently during the night.

How can you minimize the risks associated with amlodipine?

If you have been prescribed amlodipine to treat high blood pressure or another heart condition, there are several things you can do to minimize the risks associated with this medication. These include:

1.        Take the medication as prescribed: It is important to take amlodipine exactly as prescribed by your healthcare provider. Do not take more or less than the recommended dose, and do not stop taking the medication without first consulting your healthcare provider.

2.        Monitor your blood pressure: If you are taking amlodipine to treat high blood pressure, it is important to monitor your blood pressure regularly. This can help you and your healthcare provider to adjust your dose or treatment plan as needed.

3.        Avoid alcohol: Alcohol can interact with amlodipine and increase the risk of side effects such as dizziness and lightheadedness. It is important to avoid alcohol while taking this medication.

4.        Be cautious when driving or operating machinery: Amlodipine can cause dizziness and drowsiness, which can affect your ability to drive or operate machinery. It is important to be cautious and avoid these activities if you experience these side effects.

5.        Inform your healthcare provider of other medications you are taking: Amlodipine can interact with other medications, including over-the-counter medications and supplements. It is important to inform your healthcare provider of all medications you are taking to avoid potential interactions.

6.        Be aware of the signs of an allergic reaction: If you experience symptoms such as rash, hives, or difficulty breathing while taking amlodipine, it is important to seek medical attention immediately as this may be a sign of an allergic reaction.

7.        Discuss any pre-existing medical conditions with your healthcare provider: If you have pre-existing medical conditions such as liver disease, it is important to discuss this with your healthcare provider before starting amlodipine. Your healthcare provider may need to monitor you more closely or adjust your dose to minimize the risk of side effects or complications.

In conclusion, while amlodipine can be an effective medication for treating high blood pressure and certain heart conditions, it is important to be aware of the potential dangers and risks associated with this medication. By taking the medication as prescribed, monitoring your blood pressure regularly, avoiding alcohol, and informing your healthcare provider of any other medications or pre-existing medical conditions, you can minimize the risks and maximize the benefits of amlodipine. If you have any concerns or questions about taking amlodipine, it is important to discuss this with your healthcare provider.

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Dr. Oche Otorkpa PG Cert, MPH, PhD

Dr. Oche is a seasoned Public Health specialist who holds a post graduate certificate in Pharmacology and Therapeutics, an MPH, and a PhD both from Texila American University. He is a member of the International Society of Substance Use Professionals and a Fellow of the Royal Society for Public Health in the UK. He authored two books: "The Unseen Terrorist," published by AuthorHouse UK, and "The Night Before I Killed Addiction."
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